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825 W Kent Ave # 9 Missoula MT 59801-6619 | |
(406) 209-8905 | |
(406) 219-0740 |
Full Name | |
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Speciality | Psychologist |
Location | 825 W Kent Ave # 9, Missoula, Montana |
Authorized Official Name and Position | Laura C. Lopach (PSYCHOLOGIST) |
Authorized Official Contact | 4062098905 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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105 Pinehurst Ct Missoula MT 59803-2123 Ph: () - | 825 W Kent Ave # 9 Missoula MT 59801-6619 Ph: (406) 209-8905 |
NPI Number | 1790341998 |
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Provider Enumeration Date | 05/13/2019 |
Last Update Date | 12/17/2024 |
Certification Date | 12/17/2024 |
Identifier | Type | State | Issuer |
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1790341998 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | (* (Not Available)) | Primary |
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